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But it is also possible that concurrency produces a qualitative difference in transmission dynamics even in this context — creating more robust connectivity in the network, compounded by the window of high infectivity during acute infection. But again, when I talk with the spouses of gay men and women, usually there are personal issues on their side as well. Thus, it is plausible that the long-standing cultural forces that promote relatively safe patterns of sexual behavior among heterosexuals have exerted relatively little influence on MSM. We also observed some gender asymmetry in the prevalence of concurrency among heterosexuals - slightly higher rates of concurrency for heterosexual men than women - which leads to small fragmented components e. Learn more about Kindle MatchBook. For my wife and I this has been a wonderful addition to our love life.

These factors alone would result in significant disparities in HIV rates between MSM and heterosexuals even if both populations had similar numbers of sex partners, frequency of sex, and condom use levels 8.

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Polygyny and symmetric concurrency: My husband likes the one of page 46 enough to make the book worth it tho!! Reducing the risk of sexual HIV transmission: It takes them years to get through feeling that they've ruined everyone's lives, including their own. In this case you wrote in for my best judgment, so here it is including things to consider in coming out to your wife and staying married. Yes, they need to take responsibility for not having come out sooner and avoided heterosexual marriage. Patricia Belfanti February 26,

Sexual risk behavior has decreased among men who have sex with men in Los Angeles but remains greater than that among heterosexual men and women. Heterosexual debut was older at Explaining disparities in HIV infection among black and white men who have sex with men: A "win" for the bedroom. It's often no accident that they married a spouse who couldn't commit completely or be intimate and available, the way a straight spouse could. Attitudes toward sexual minorities and laws affecting their relationships e. Finally, we used the variable regarding number of partners in the past year to indicate if an individual had engaged in any sex in the past year.